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ARCHIVED REPORTS_XR0006719
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006719
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Entry Properties
Last modified
5/5/2020 10:35:44 AM
Creation date
5/5/2020 9:46:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006719
RECORD_ID
PR0543479
PE
2960
FACILITY_ID
FA0024679
FACILITY_NAME
CANEPA'S CAR WASH
STREET_NUMBER
6230
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
081360030
CURRENT_STATUS
01
SITE_LOCATION
6230 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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,7 Condcs Earth Technologies, Inc, �- <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 188 Frank West Circle, Suite I - <br /> P O Box 3905/ Sonora, California 95370 Stockton, CA 95206 <br /> N! 6879 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) I <br /> G info@condorearth corn(e-mail) con dor@condorstockton corn -mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME K1-e 5-5<-- <br /> OFFICE <br /> SCOFFICE B Fr,-, 4 j^%s/--Ci ST-e � <br /> 57—a 5ZlJ,4 <br /> ,CZPLEASE FAX RESULTS PROJECT <br /> PROJECT NO <br /> ` -�071, NO SSS ✓ Verification <br /> SAMPLED BY Jo <br /> I of y"� <br /> con- Q' <br /> (Signature) C tarn- <br /> Date Time Sample ID ers q REMARKS MISC <br /> F <br /> _ TbAi <br /> F <br /> G <br /> n ottleS�eflele j <br /> 4V do a jr <br /> To1 � 1� <br /> eql <br /> cell <br /> Q <br /> Relinquished r�L� Date Time Received By Date Time <br /> (Signature C� s 1 j '00 (Signature) <br /> Relinquished By Date rime Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time ReceivejBy �i ate Tµr�ic(Signature) (Signatu '�i Wo <br /> 1 l <br /> Oi igmal-Send Yellow-File Pink-Log Book <br />
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